Introduction: Signature LAM resistance mutations have been mapped to the
tyrosine-methionine-aspartate-aspartate (
YMDD) locus in the catalytic or C domain of HBV
reverse transcriptase (
RT) region, and the primary resistance mutations are isoleucine (I), valine (V), or occasionally serine (
S) that were designated <
Discussion: For the position of
rt204 in the HBV
RT region,
rtM204V and
rtM204I are well-known primary LAM- and/or LdT-resistant mutation, and
rtM204S was also reported to be induced by LAM treatment and conferred LAM resistance.